The Retreat

The Retreat is a ‘not-for-profit’ organisation, providing specialist mental health services to adults of all ages, including a dedicated Dementia Pathway for individuals presenting with high-risk behaviours that challenge. We accept referrals from across the UK when local services are unable to safely meet an individual’s needs due to their complexity, high levels of aggression/agitation and/or their Mental Health Act status. We offer both longer-term care (including end of life support) and periods of specialist assessment / stabilisation depending on the needs of the individual.

Updated:
10 February 2016
Location:
Yorkshire and Humber, National
Sectors:
Care, Health, Medical
Local Alliances:
Yorkshire & Humber Dementia Action Alliance

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

We use a comprehensive multi-disciplinary approach to provide creative solutions to complex situations using functional analysis; supporting a ‘least restrictive’ culture, respecting an individual’s unique sense of self, enhancing independence and promoting social inclusion, whilst reducing the impact of behaviors which challenge and enriching the individual’s quality of life. 

We pride ourselves on delivering high-quality, personalised packages of cognitive stimulation and programs of meaningful engagement; which are developed collaboratively with individuals and their families wherever possible. The Retreat respect the unique role of family and friends in assisting individuals who use our services to maximise their well being; providing formal and informal support including psycho-education.

In line with NICE guidelines and our ‘least restrictive’ principles we actively work with individuals with dementia to reduce their use of anti-psychotics to a minimum.

2. What are the challenges to delivering these outcomes from the perspective of your organisation?

As some other organisations have already identified, one of the primary challenges for a provider organisation, such as The Retreat, is securing funding to provide quality care to individuals. Commissioners need to be facilitated to understand what they can expect of the service and its subsequent outcomes to enable them to recognise that this is best value.

In addition, though it is recognised that we provide high quality care which is reflective of best and at times innovative practice, we sometimes find it difficult to access opportunities in which we can share expertise with and from others at a National and Local level.

Furthermore, it is acknowledged that at present Dementia skills and awareness are limited to those in clinically relevant roles and that a wider cultural awareness and acceptance within the Retreat could be helpful in supporting anyone effected by Dementia; personally and/or professionally.

2. Actions

  • Care Provision

    Continued provision of high quality evidenced-based care for individuals with dementia who have challenging and/or complex presentations.

    Status:
    Implementation
  • Support

    Support individuals to maintain a sense of personhood and self-efficacy through continued use of life-story work and positive engagement

    Status:
    Delivery
  • End of Life Care

    Deliver excellent, evidenced-based end of life care where patients are to stay in our care in the longer term.

    Status:
    Implementation
  • Involvement in external initiatives

    Continued and expansive involvement in local and national initiatives aimed at improving the experience of individuals with Dementia (i.e. Dementia Without Walls)

    Status:
    Implementation
  • Knowledge

    Enhance the current culture of enquiry and learning by creating greater opportunities for networking and shared knowledge

    Status:
    Planning
  • Work in Local Community

    ‘Adopt a neighborhood’ to support improved understanding of Dementia and dispel myths, in the local community

    Status:
    Planning
  • Training

    Consolidate our existing training framework to include training provision of all Retreat Employees (clinical and non-clinical) in the basic principles of dementia and how to support these individuals

    Status:
    Implementation
  • Outcome Data

    To ensure commissioners are aware of the aims of The Retreat services for dementia and the evidence of improvement that can be demonstrated for this group via the provision of constructive outcome data.

    Status:
    Planning
  • Carer Support

    Enhance support provided to people who care/d for people with Dementia (both linked to The Retreat and the local community)

    Status:
    Planning